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NPI Code Detail

MEDICARE: DIME THEORY LLC

MEDICARE: DIME THEORY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1891685764
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIME THEORY LLC
Provider Business Mailing Address
First Line : 680 N LAKE SHORE DR
Second Line : SUITE 110 - 2873
City : CHICAGO
State : IL
Zip : 60611
Country : US
Telephone Number : 773-696-5224
Fax Number :
Provider Business Practice Location Address
First Line : 680 N LAKE SHORE DR
Second Line : SUITE 110 - 2873
City : CHICAGO
State : IL
Zip : 60611
Country : US
Telephone Number : 773-696-5224
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DIAMOND FLOURNOY
Credential : LCSW
Telephone Number : 630-697-7780
Provider Enumeration Date : 07/03/2025
Last Update Date : 07/03/2025

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Directions to “DIME THEORY LLC ” Practice Location

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